Urinalysis, Macroscopic

The Urinalysis, Macroscopic test contains 1 test with 12 biomarkers.

Description: A urinalysis macroscopic test is a urine test that is used to screen for, diagnose, and monitor a variety of conditions and diseases urinary tract infections (UTIs) and kidney disorders.

Also Known As: Urine Test, Urine Analysis Test, Urinalysis Test, UA test, urine macroscopic examination Test, Macroscopic Urinalysis Test

Collection Method: Urine Collection

Specimen Type: Urine

Test Preparation: No preparation required

When is a Macroscopic Urinalysis test ordered?

When a person has a routine wellness assessment, is admitted to the hospital, will undergo surgery, or when a woman has a pregnancy checkup, a urinalysis dipstick test may be requested.

When a person visits a doctor with symptoms of a urinary tract infection or another urinary system ailment, such as kidney disease, a urinalysis will almost certainly be prescribed. The following are some possible signs and symptoms:

  • Pain in the abdomen
  • Backache
  • Urination that is painful or occurs frequently
  • Urine with blood in it

Testing may also be conducted at regular intervals to track the progress of a condition.

What does a Urinalysis Macroscopic urine test check for?

A urinalysis is a series of examinations done on urine that are physical, chemical, and microscopic. The tests identify and/or measure a number of elements in the urine, including cells, cellular fragments, and microbes. These elements include byproducts of healthy and unhealthy metabolism.

Urine is produced by the kidneys, two fist-sized organs located on either side of the spine near the base of the rib cage. The kidneys help the body regulate its water balance, filter wastes from the blood, and store proteins, electrolytes, and other molecules for later use. To get rid of everything unnecessary, urine travels from the kidneys to the ureters, bladder, and urethra before exiting the body. The color, amount, concentration, and content of urine will change slightly every time a person urinates due to the varied elements in urine, despite the fact that pee is normally yellow and clear.

By screening for components in the urine that aren't typically present and/or monitoring aberrant levels of specific substances, many illnesses can be caught early on. Examples include glucose, protein, bilirubin, red and white blood cells, crystals, and pathogens. The following explanations for their presence include:

  • There is a problem with the kidneys.
  • As with bacteria and white blood cells, there is a urinary tract infection present.

Three separate testing steps make up a full urinalysis:

  • The color and clarity of the urine are assessed using a visual examination.
  • Chemical examination, which determines the concentration of urine and tests for roughly 9 chemicals that provide useful information about health and disease.

When there is an abnormal finding on the visual or chemical test, or if a healthcare practitioner explicitly demands it, a microscopic investigation is usually done.

If the results of a urinalysis are abnormal, it may be necessary to repeat the test to see if the results are still abnormal, and/or further urine and blood tests to help establish a diagnosis.

Lab tests often ordered with a Urinalysis Macroscopic test:

  • Urine Culture
  • Complete Blood Count
  • Iron Total and Total Iron binding capacity
  • Hemoglobin A1c
  • Lipid Panel
  • CMP
  • TSH
  • Urine Culture
  • Bilirubin Fractionated
  • Glucose

Conditions where a Urinalysis Macroscopic test is recommended:

  • Diabetes
  • Kidney Disease
  • Liver Disease
  • Hypertension
  • Pregnancy
  • Hematuria
  • Proteinuria
  • Kidney Stones

How does my health care provider use a Urinalysis Macroscopic test?

A urinalysis is a series of tests that can diagnose a variety of disorders. It can be used to screen for and/or diagnose a variety of illnesses, including urinary tract infections, renal abnormalities, liver diseases, diabetes, and other metabolic disorders, to name a few.

A urinalysis is a set of chemical, microscopic, and visual tests performed to look for cells, cell fragments, and compounds like crystals or casts in the urine that are linked to the illnesses described above. It can discover abnormalities that may necessitate further study and testing. Protein and glucose often start to appear in the urine before people realize they have a problem.

Urinalysis may be performed in tandem with other tests, such as urine albumin, to track treatment in persons with diseases or conditions such kidney disease or diabetes.

What do my urinalysis test results mean?

Urinalysis results can be interpreted in a variety of ways. Irregular discoveries are a red flag that something isn't quite right and should be investigated further. Other focused tests, such as a comprehensive metabolic panel, complete blood count, or urine culture, must be used to link the urinalysis results with a person's symptoms and clinical findings, and to seek for the causes of abnormal findings.

The higher the concentration of the unusual component, such as significantly higher levels of glucose, protein, or red blood cells, the more probable there is an issue that needs to be addressed. The results, on the other hand, do not tell the healthcare provider what caused the finding or whether it is a temporary or persistent illness.

A normal urinalysis does not rule out the possibility of disease. Early in a disease process, some persons will not release elevated amounts of a drug, and others will release them irregularly throughout the day, which means they could be overlooked by a single urine sample. Small amounts of substances may be undetectable in very dilute urine.

We advise having your results reviewed by a licensed medical healthcare professional for proper interpretation of your results.

NOTE: Only measurable biomarkers will be reported.

The following is a list of what is included in the item above. Click the test(s) below to view what biomarkers are measured along with an explanation of what the biomarker is measuring.

Also known as: UA, Macroscopic, Urinalysisn UA Macroscopic, Urine Analysis, Macroscopic



Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool.



A blood glucose test measures the amount of a sugar called glucose in a sample of your blood. Glucose is a major source of energy for most cells of the body, including those in the brain. The hormones insulin and glucagon help control blood glucose levels.


Ketones are substances produced in the liver when fat cells break down in the blood. A serum ketone test is a measurement of how many ketones are in the blood.

Leukocyte Esterase

Leukocyte esterase is a urine test to look for white blood cells and other signs associated with infection.


Occult Blood

The test looks for hidden (occult) blood in a specimen sample. It can find blood even if you cannot see it yourself.


Level of acid


Body fluids contain many different proteins that serve diverse functions such as transport of nutrients, removal of toxins, control of metabolic processes, and defense against invaders. Protein electrophoresis is a method for separating these proteins based on their size and electrical charge. When body fluids are separated by electrophoresis, they form a characteristic pattern of bands of different widths and intensities, reflecting the mixture of proteins present. This pattern is divided into five fractions, called albumin, alpha 1, alpha 2, beta, and gamma. In some cases, the beta fraction is further divided into beta 1 and beta 2. Albumin, which is produced in the liver, accounts for about 60% of the protein in the blood. "Globulins" is a collective term used to refer to proteins other than albumin. With the exception of the immunoglobulins and some complement proteins, most of the globulins are also produced in the liver. Immunofixation electrophoresis (IFE) is a method used to identify abnormal bands seen on serum, urine, or CSF protein electrophoresis, as to which type of antibody (immunoglobulin) is present.

Reducing Substances

Specific Gravity

*Process times are an estimate and are not guaranteed. The lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance.

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